Burke Spinal Care, LTD

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

B00447 Issued in NV

Legal business name

BURKE SPINAL CARE, LTD

Practice address

7240 W Lake Mead Blvd
Suite 3
Las Vegas, NV 89128-8356

Phone

(702) 453-0440

Fax

(702) 453-0550

NPI assigned

Mar 13, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Cameron Mitchell Dudley, D.C.NPI 1467591297

Title

Chiropractor

Phone

(702) 453-0440

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dudley Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Burke Spinal Care, LTD

  • Chiropractor
  • Las Vegas, NV
  • NPI 1679612428

  O20040701000757

  Same enrollment

Tax ID family

Burke Spinal Care LTD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Burke Spinal Care, LTD

  • Chiropractor
  • Las Vegas, NV
  • NPI 1679612428
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cameron Mitchell Dudley, D.C.

  • Chiropractor
  • Las Vegas, NV
  • NPI 1467591297
  Medicare reassignment Care Compare group NPD Authorized official
• Steven Lawson Burke, D.C.

  • Chiropractor
  • Las Vegas, NV
  • NPI 1093854804
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194998400000",
    "number": "1841323326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7240 W LAKE MEAD BLVD",
            "address_2": "SUITE 3",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891288356",
            "telephone_number": "702-453-0440",
            "fax_number": "702-453-0550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7240 W LAKE MEAD BLVD",
            "address_2": "SUITE 3",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891288356",
            "telephone_number": "702-453-0440",
            "fax_number": "702-453-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURKE SPINAL CARE, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2007-11-14",
        "status": "A",
        "authorized_official_last_name": "DUDLEY",
        "authorized_official_first_name": "CAMERON",
        "authorized_official_middle_name": "MITCHELL",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "702-453-0440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "B00447",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3602060",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dudley Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lena Burk, PA
• Burke Anesthesia Consultants
• Burke Anesthesia Consultants, PC
• Burke Medical Consultants
• Burke Spinal Care, LTD
• Belinda Kay Burke, LRC, CHW
• Catherine Burke, M.A.
• Courtney Michelle Burke, APRN
• Destiny Burke
• Dina Santo Tomas Burke, MD

• Chiropractor in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Chiropractor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.